Some clients (in ALL types of business) are so bad that
Posted By: keeping them is throwing money away. N/M on 2009-06-01
In Reply to: Just wondering - why would an MTSO drop - accounts - like throwing money away?
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What happens, is MTSOs coddle the clients and let the clients call all of the shots.
Then the MTs get stuck with account specs that are contradictory and confusing.
It should be simple. When an MTSO is wooing a client, the MTSO should present with a copy of the style guidelines they intend to follow or if it is the BOS, let the client know that. It should be made clear that with the exception of report format, the guidelines are not flexible. Either we use apostrophes or we don't. Don't do it one way for one client and the exact opposite for the other client and then hold the MT responsible when she gets confused as to what account she is typing that day!
Do you feel better now? !! Business is business, most of it should be confidential. Why post on a
x
Trying to build his business? He's been in business over 15 years!!!!!! sm
I also had a hard time, nearly impossible actually, getting paid. The owner does this on the side; he is very involved with other things.
work types
Hello,
I had consults, H&P, discharge summary, a few OP notes here and there, basically in all specialities, cardiology, neuro, GI, Ortho, OB/GYN, psych, etc.
One of the things I can tell you for sure that I didn't do was radiology.
HTH, any other questions just let me know! 
Not at all. I have 3 different types of software and
all three use a wave pedal. Two of them use USB and the other a 15-pin, and there is no conflict in the programming of each one.
Work types are
discharge summaries, op notes, history and physicals, ER notes, consultations, clinic notes, etc.
Asking these types of questions will not help you
You sound like you have an ask to grind. If I were to ask these questions, I would appear unprofessional and I think we have enough of that in this industry. You should be giving yourself the warning about being careful what you post.
Work Types
Is it just me or does there seem to be a trend of work assigning lately. I type fairly fast and I find myself getting bottom of the barrel scraps lately.
re work types
it is my understanding they have clinic work as well, but i am doing acute care.
I CAN do the other work types. Not much
experience with caths or sleep studies, but can do the basic 4 without any problem. I can do the worst of the ESLs with rarely any problems, but I sure don't want to do them all day, no matter how much they pay me.
I'm hoping things settle down. I don't plan on changing jobs, but didn't plan on changing to this one either but I didn't have a choice. I'm seriously looking to get out of the MT business, but still be at home.
Thanks. Are there certain work types that seem to need help and how are the
accounts that they have and the system they use.
Do you do all work types?
nm
Do you do all work types?
nm
Can you request certain job types...sm
Do they let you request certain job types?
My favorite type of job is operative notes and I would be more than happy to take them off everyone's hands. My ideal day would be operative notes (with an occasional psych eval and ER note mixed in). I dream of the days when I could work without a set schedule on the work types that I liked on ONE account. Those were the days.
I'm been with MQ for almost 10 years and right now I'm in the cesspool of 25+ different hospitals; never having the same doctor; I just talked to my supervisor on the phone for the first time ever last week (and she's been my supervisor for 8 months now); haven't had a raise in 5 years despite asking every year. I've stuck it out for the last 3 years being unhappy because I felt fortunate to be able to work from home. I finally got mad enough this past week that I put my resume out and now I have 3 different companies to interview with in 2 days.
Do you do all work types? sm
I haven't had any problems running out of work. I have heard from others who only do clinic, or who don't do op notes. But everyone I have talked to who do all the work types have had no problem.
As for the ESLs, unfortunately, you can't escape them anywhere. You just have to learn to deal with them. They actually do get easier the more you do them. Not my preference, but hey, I've got a job, an income. I'm happy. :-)
Types of companies
I am fairly new in the MT business, so I don't know a lot about the different types of work situations.
It is my understanding that some companies don't have scheduled shifts but just require a certain amount of lines typed per day. Is that correct? If so, does that also mean it does not matter how many hours it takes (so if having a slow day can take 9 hours ... or a fast day can to it in 6)?
That sounds like a good set up, so one could work around other events and such. If that is correct, are there very many companies who offer this? 
WHAT ABOUT WORK TYPES, 99% ESL OR WHAT? ..
It's easy to get your lines as long as the work is there and you get a halfway decent work type, but if no one can understand the crap that's put out (call it 'work pool' set my managers)--- what difference does it make if they DO have work? They can have all the work they want - but if you have to put in 18 hours to get 8 hours worth of required lines , well, big deal if they do have work!
I'm so sorry for you all. We've gone through these types
of things at MQ (I've found a glass or 3 of wine helps), but I'm finally quitting to find a better company. These greedy corporations can kiss my..... Good luck to you all, my fellow MTs. Hope you can make enough to survive on or find a better company out there.
Could you do all work types, or were you limited?nm
nm
Not here. You get your work types and accounts first.
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I don't do these types of reports for anything under $1.00 per minute.
p
If QA types they have nothing to gain by cherrypicking
This is true for any company. I used to type as well as do QA. I never skipped -bad- jobs because they would end up in QA anyway because the other MTs couldn't do them. Believe me, QA does not love a bunch of reports in QA because it clogs up the system. So I did them no matter how hard they were. I have never worked for Transtech but speaking from experience I can't imagine why a QA at any company would cherrypick jobs only to be stuck with them later in QA.
New work types are being added to ML
.
Maybe they are referring to other work types
H&Ps and consults are still H&Ps and consults wherever you go. As you know, each facility will have specs, any differences (should there be any) would be listed there. The company you were talking to might have been referring to OPs, cardio and specialty procedures more so than the basics. Just an idea. I would not let that company get you down. With that much experience, you'll get a job easily enough. Good luck to you. God Bless.
Lots of different work types
.
Nah, my dad was teaching me a lesson. You know one of those types.
I have learned young how to survive. This may also include having to deal with parents/boss who give you what they think you deserve and in some cases not much. One thing I did learn though in life you may not be able to depend on others, but you need to learn to depend on yourself.
Amen to that. The only management types
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I wouldn't do it. One of each basic 4 types or a few clinic
s
When I was hired, they asked me what work types I liked from sm
best to worst. I have progress notes last. I hate them but get a few every day-type them anyway. Wish I got more op notes but H&Ps and consults keep me real busy.
They use several software types, inc. CareFlow and cQuence,
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totally different situations between work types. nm
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Phoenix MedCom - what types of accounts do they have?
I know they do a lot of teaching hospitals. Do you do a variety of work types or is it mainly OP notes? Can you make decent money even without being paid for spaces?
and i love it, so i can change work types
with my mood, or stop if i want to take a short break, without having to plan way ahead.
How do we get a correct breakdown by report types,
nm
I've never received these types of emails...
I've seen a few where there is work on the system and asking if anyone wants to hop on and help out, they're welcome to, and once I received an email offering bonus pay for exceeding the line commitment over the weekend if I chose to.
I'm not saying your information is false, because it sounds as if you IC for MDI-MD, but perhaps we're on different MDI accounts with different leads? Would being on one of the acute care accounts versus the clinics make a difference in the email approach?
That's just really odd, the difference in approach taken to the accounts.
The recrutiers are usually very helpful with these types of things. sm
Don't hesitate to give them a call. :)
Then somebody in India types our death note
x
What kind of work types does Level 4 do at
x
I find it very hard to believe that all work types are on a 1-hour TAT(sm)
Are you talking about stats or everything? Do you have this 1-hour TAT in writing? I've never even heard of hospitals being on that tight a TAT.
I am on a new account, doing work types I cant make money on. nm
xxx
Just be flexible with your work types and accounts and you should be fine.
nm
If you don't know what is confidential, you have no business being in any business.
This is confidential information and should not be divulged. It is one of the biggest problems a co can have. If you have to ask...well I won't be able to explain it to you
Time available, equipment, work types, maybe a pop spelling quiz,
x
NOT TRUE! I worked every account and all work types and couldn't
nm
the clients were in NY. nm
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Maybe not your clients, but many are.
Your clients may be behind the times, but many are not. VR has gotten much, much better, and I've spoken with many, many MTSOs who are moving their accounts over.
The average seems to be about 60% to 80% VR and 20% to 40% transcription. There will always be those you cannot put on VR, but it is growing rapidly.
Not all clients DO know--that's just it!
Yes, some clients DO know, and the almighty dollar is the only thing they think of. But some clients DO care, and they don't know their records are going overseas. They would be apalled if they knew. Come to think of it, so would the patients.
not when the clients have the last say
Do not get me wrong. I do not care for it either, but somewhere down the line, the companies will have to suck it up and so will we. Otherwise, we move to a different field. Unfortunately, that is just the way it is.
Becoming an IC with own clients
How does a person become an IC with their own clients, not working for an MTSO? From what I have read on this board, it seems that is the way to make the most money per line/word/page, etc. so I am thinking about doing this after being an employee for 15 years (with things going downhill now). I would appreciate knowing several things:
1. How do you get the clients.
2. Are there certain types of docs that tend to prefer this situation rather than going to an MTSO?
3. How do you determine what to charge?
4. How can someone get the dictation, type it and return to the doctor without having to pick it up and drop it off?
5. Without QA other than yourself, how does an IC handle blanks? Do doctor's offices tend to get upset with blanks?
6. Is there a particular software system that is better to use when you have your own IC service and want to get work over the Internet and return it over the Internet?
This and any other advice greatly appreciated!
I'm sure they do tell their clients to sm
hide it from the MTSO, just like the MTSOs hide the fact that their clients' work is being generated by VR.
Do you think clients don't already KNOW about VR? That they are sm
being sold it at every AHIMA conference they go to? Being cold-called by companies doing VR already? That doc don't get info about it at their little retreats and conferences?
It's better to be proactive and have VR sold as part of an MTSO's offering (with MTs doing the editing) than being undercut by other VR-only companies.
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